Individual provider Active NPI

Ngozi Eboh, M.D

  • Hospitalist Physician
  • Lubbock, TX
National Provider Identifier
1730476052
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
Q6000 Issued in TX
Practice address
4015 22ND PL
Lubbock, TX 79410
Phone
(806) 725-6000
Fax
(806) 723-7753
NPI assigned
Jul 7, 2011
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Q6000 TX Primary

Addresses

Primary practice location

4015 22ND PL
Lubbock, TX 79410

Mailing address

PO Box 5865
Lubbock, TX 79408-5865
Phone (806) 743-2898

Other practice location 1

3601 4th Street
Stop 9406
Lubbock, TX 79430-9406
Phone (806) 743-6624

Other practice location 2

3601 4th Street
Stop 9406
Lubbock, TX 79430-9406
Phone (806) 743-6624

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ngozi.eboh@myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105002357 TX Practitioner - HospitalistPractitioner - Pediatric Medicine 9234301086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-3150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 15, 2015 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 15, 2015 Accepting new patients
Virginia Hospitalists Inc Past Accepting new patients
Methodist Children's Hospital Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Locations

3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3601 4th St
Stop 9406
Lubbock, TX 79430
Phone (806) 743-6630

4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Interoperability endpoints

  • Direct secure messaging: ngozi.eboh@direct.myteamcare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1730476052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5865",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794085865",
            "telephone_number": "806-743-2898",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-725-6000",
            "fax_number": "806-723-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 4th Street",
            "address_2": "Stop 9406",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794309406",
            "country_code": "US",
            "telephone_number": "806-743-6624",
            "fax_number": "806-743-2314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 4th Street",
            "address_2": "Stop 9406",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794309406",
            "country_code": "US",
            "telephone_number": "806-743-6624",
            "fax_number": "806-743-2314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBOH",
        "first_name": "NGOZI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "Q6000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngozi.eboh@myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th Street",
            "address_2": "Stop 9406",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794309406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.